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1164997854
MEGAN NICOLE SULLIVAN
LINDALE, TX
NPI
1164997854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214231)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
MEGAN NICOLE SULLIVAN
616 N MAIN ST STE A
LINDALE, TX 75771-6426
Phone number: 903-882-6400
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Mailing Address
MEGAN NICOLE SULLIVAN
616 N MAIN ST STE A
LINDALE, TX 75771-6426
Phone number: 903-882-6400
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